Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Difelikefalin Injection, for Intravenous use (Korsuva™) HCPCS code J0879 - Injection, difelikefalin, 0.1 microgram, (for ESRD on Dialysis): Billing Guidelines
Medicaid and NC Health Choice programs cover difelikefalin injection, for intravenous use
Healthy Opportunities Housing and Transportation Services Available
Qualifying Medicaid Standard Plan members in 33 North Carolina counties may receive housing and transportation services.
Non-Emergency Medicaid Transportation Updates - April 29
WellCare broker update, contracting with transportation brokers, emergent care reminder
SPECIAL BULLETIN COVID-19 #246: Direct Care Worker One-Time Bonus Reminders & Expectations
Data and clarifications on the DCW One-Time Bonus
Chimeric Antigen Receptor (CAR) T-Cell Therapy Reimbursement Guidelines
This information replaces the reimbursement guidelines posted in the December 2019 bulletin.
Tailored Care Management Updated Guidance (April 21, 2022)
Capacity building FAQs, guidance on the use of extenders, standard terms and conditions, and Provider Manual updates.
SPECIAL BULLETIN COVID-19 #245: Second Booster for Pfizer-BioNTech and Moderna Vaccines
Billing Reimbursement for second booster
SPECIAL BULLETIN COVID-19 #244: Evusheld Alternative to COVID-19 Vaccination for Some Patients
Billing Guideline for use of Evusheld
Research Based – Behavioral Health Treatment for Autism Spectrum Disorder
Approved for beneficiaries over the age of 21, effective July 1, 2021
Reminder: As the Federal Public Health Emergency Ends, Provider Reverification Requirements are Reinstated

With the end of the federal Public Health Emergency (PHE) expected in the Summer of 2022, NC Medicaid providers will begin receiving reverification notices.